Loading...
Publication
Complications associated to inferior alveolar nerve block with different anesthetics: a systematic review
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 42092 | 593.99 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O Bloqueio do Nervo Alveolar Inferior (IANB), consiste numa das técnicas anestésicas mais utilizadas e tem sido considerada como um padrão de excelência para bloquear a hemimandíbula. Esta técnica é comummente utilizada na prática dentária e cirúrgica oral. O objetivo deste estudo foi analisar os relatórios relacionados com a técnica IANB, combinada com diferentes anestésicos locais. Para identificar os estudos relevantes, foi realizada uma revisão sistemática, em que foi adotado o PRISMA “Preferred Reporting Items for Systematic Reviews and Meta-Analyses”, e foram utilizados os critérios de PICO (Problema/Doente/População, Intervenção/Indicador, Comparação, Resultado) para estruturar a questão da investigação. A pesquisa bibliográfica foi realizada através das bases de dados PubMed/Medline, Cochrane Library e Embase, sem qualquer restrição de tempo, e com os filtros: ensaio clínico aleatório prospetivo e ensaio aleatório controlado. Foram escolhidos critérios de inclusão e exclusão para, numa fase inicial, selecionar os artigos apropriados, a partir dos títulos publicados e, em seguida, a leitura abstrata. Após a avaliação de todos os artigos selecionados, os resultados da pesquisa indicaram que não foram observados efeitos colaterais relevantes em nenhum grupo, com quaisquer soluções anestésicas. No entanto, é importante considerar que, um período de seguimento de 1 dia, pode ser demasiado curto para observar complicações posteriores, a evolução ou remissão espontânea das suas sequelas. Desta forma, devemos considerar a necessidade de investigação futura, como ensaios clínicos aleatórios controlados, com amostras grandes e um período de seguimento mais longo, no sentido de confirmar estes resultados.
Inferior Alveolar Nerve Block (IANB) is considered as the most widely used anesthetic technique, and it has been considered the gold standard for blocking the hemimandible. This technique is used in everyday dental and oral surgical practice. The aim of this study was to analyze the reports related to IANB technique combined with different local anesthetics. To identify the relevant studies, a systematic review was conducted wherein the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)” was adopted, and the Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome (PICO) criteria were used to structure the research question. The literature search was conducted using PubMed/Medline database, Cochrane Library and Embase, without any restriction of time and with prospective randomized clinical trial and randomized controlled trial as filters. Inclusion and exclusion criteria were chosen to initially select the appropriate articles from the published titles and then the abstract reading. After evaluating all selected articles, the results of the research indicate that no relevant side effects were observed in any groups, with any anesthetic solutions, but it is important to consider that a follow-up period of 1 day may be too short to observe later complications, evolution, or spontaneous remission of its eventual sequelae. Therefore, we must consider that future research as randomized controlled clinical trials with large samples and longer follow-up period are required to confirm these findings.
Inferior Alveolar Nerve Block (IANB) is considered as the most widely used anesthetic technique, and it has been considered the gold standard for blocking the hemimandible. This technique is used in everyday dental and oral surgical practice. The aim of this study was to analyze the reports related to IANB technique combined with different local anesthetics. To identify the relevant studies, a systematic review was conducted wherein the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)” was adopted, and the Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome (PICO) criteria were used to structure the research question. The literature search was conducted using PubMed/Medline database, Cochrane Library and Embase, without any restriction of time and with prospective randomized clinical trial and randomized controlled trial as filters. Inclusion and exclusion criteria were chosen to initially select the appropriate articles from the published titles and then the abstract reading. After evaluating all selected articles, the results of the research indicate that no relevant side effects were observed in any groups, with any anesthetic solutions, but it is important to consider that a follow-up period of 1 day may be too short to observe later complications, evolution, or spontaneous remission of its eventual sequelae. Therefore, we must consider that future research as randomized controlled clinical trials with large samples and longer follow-up period are required to confirm these findings.
Description
Keywords
Anestésico Articaína 4% Complicações Bloqueio do nervo alveolar inferior Lidocaína 2% Mepivacaína 3% Anesthetics Articaine 4% Complications Inferior alveolar nerve block Lidocaine 2% Mepivacaine 3%